A nurse explaining the multiaxial DSM-IV-TR to a psychiatric technician can accurately say that it
a. focuses on plans for treatment.
b. includes nursing and medical diagnoses.
c. includes assessments of several aspects of functioning.
d. uses the framewo
c. includes assessments of several aspects of functioning
A 23-year-old college student wrote about herself, "Most of the time I'm happy and feel pretty good about myself. I've learned that what I get out of something is often proportional to the effort I put into it. My grades are OK." Based on this information
d. 4
A client has been admitted to the psychiatric hospital for assessment and evaluation. What behavior might indicate that the client has a mental disorder? The client
a. is able to see the difference between the "as if" and the "for real."
b. describes her
b. describes her mood as consistently sad, discouraged, down in the dumps, and
hopeless.
An outcome for a client is that he will demonstrate mentally healthy behavior. The behavior that indicates the outcome is being met is that the client
a. behaves without considering the consequences of his actions.
b. sees himself as approaching his ideal
b. sees himself as approaching his ideals and as capable of meeting demands.
A float nurse working at a behavioral health clinic notes a diagnosis of a psychiatric disorder with which he is unfamiliar on a client's insurance form. To discern the criteria used to establish this diagnosis, the nurse should consult the
a. DSM-IV-TR.
a. DSM-IV-TR.
The nurse must assess the mental health/mental illness of several new clients at the mental health clinic. Conclusions about current functioning should be made on the basis of
a. the degree of conformity of the individual to society's norms.
b. the degree
d. a continuum from healthy to psychotic.
A 22-year-old college student is highly confident of his own intellectual abilities and strives to excel to the point of always wanting to be first or better than others in academic standing, sports, and other endeavors. Peers find him aggressive, but he
a. control over behavior.
A 40-year-old woman who lives with her parents and works at a highly routine clerical job states "I'm as happy as the next person even though I don't socialize much outside of work. My work is routine, but when new things come up my boss explains things a
a. self-concept.
A client tells the nurse, "I'm a real freak. I'm a psychiatric patient, in and out of hospitals all the time. None of my friends or relatives is crazy like this." The reply that would help the client understand the prevalence of mental illness is
a. "Comp
c. "Nearly 50% of all people aged 15 to 55 years have had a psychiatric disorder at
some time in their lives.
The best response for the nurse who receives a query from another mental health professional seeking to understand the difference between a DSM-IV-TR diagnosis and a nursing diagnosis would be
a. "There is no functional difference between the two; both se
d. "The DSM-IV-TR diagnosis affects the choice of medical treatment, whereas the
nursing diagnosis offers a framework for identifying interventions for phenomena a client is experiencing.
A client mentions to a nursing student, "I'd never want to be a nurse working with psychiatric clients because none of us ever gets well." The reply by the nursing student that best addresses the stated bias is
a. "People with mental disorders should not
c. "Treatment of bipolar disorder has an 80% success rate, whereas angioplasty is successful 41% of the time.
The nurse caring for a client finds the client uncommunicative about recent life events. The nurse suspects marital and perhaps economic problems exist. The social worker's intake note has been dictated, but not typed, and is placed in the medical record.
d. look at axis IV of the DSM-IV-TR in the medical record.
The nurse making an admission assessment notes the client is profoundly depressed to the point of being mute and motionless. The client has refused to bathe and eat for a week, according to her parents. The nurse should code the client's global assessment
d. 10.
The nurse tells a peer, "I'm assigned to an interdisciplinary team working with a group of depressed clients, half of whom are receiving supportive interventions and antidepressant medication. The others are receiving only antidepressants. We are concerne
b. clinical epidemiology.
The husband of a client with schizophrenia tells the nurse, "I simply don't understand why how my wife was nurtured or toilet trained has anything to do with the incredibly disabling illness she has!" The response by the nurse that will help the husband b
d. "New findings tell us that your wife's condition is more likely biological than
psychological in origin.
The understanding on the part of the nurse that should result in the nurse providing the highest degree of client advocacy during a multidisciplinary client care planning session is
a. all mental illnesses are culturally determined.
b. schizophrenia and b
d. symptoms of mental disorders reflect a person's cultural patterns.
The nurse reading a client's medical record determines that the client's relationships with both men and women tend to be intense and unstable, with the client initially idealizing the significant other and then devaluing him or her when the individual do
d. fulfilling relationships.
In the majority culture of the United States, the individual at greatest risk for being labeled mentally ill is
a. one who is wealthy and goes around the city giving away $20 bills to needy
individuals.
b. one who attends a charismatic church and describe
b. one who attends a charismatic church and describes hearing God's voice speaking
to her.
To effectively use the DSM-IV-TR the nurse must be cognizant of the fact that this tool classifies
a. deviant behavior.
b. people with mental disorders.
c. disorders that people have.
d. present disability or distress.
c. disorders that people have
The psychiatric nurse addresses axis I of the DSM-IV-TR as the focus of treatment but must also consider the presence of a long-term disorder that affects treatment. This information is accessed by noting axis
a. II.
b. III.
c. IV.
d. V.
a. II.
For the psychiatric nurse whose client care focus is holistic, awareness of which DSM-IV-TR axes is most important?
a. I and II
b. III and IV
c. V
d. I through V
d. I through V
When the nurse providing psychoeducation about mental disorders is asked "What is the most prevalent mental disorder in the United States?" the response should be
a. "Why do you ask?"
b. schizophrenia.
c. affective disorders.
d. substance abuse.
d. substance abuse.